CHAPTER V CONCLUSION AND RECOMMENDATION 47
5.4 Suggestion for Future Research 57
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APPENDICES
Appendix A: Certificate of Authenticity
Appendix B: Interview Guideline
Introduction: The interview was conducted to explore the doctors’ satisfaction working in public hospitals in Myanmar.
Length of Interview: Approximately 15-20 minutes
Mode of Interview: Individual in-depth interview through telephone since face-to-face interview cannot be conducted.
Interview Questions:
13. Please mention your age and working hospital.
14. Please indicate your specialty and year of working experience.
15. How do you think about current health system and provided healthcare services in Myanmar?
16. What kinds of factors do you think are important for the job satisfaction of doctors?
17. Do you think that physician well-being affects the job satisfaction? Please share your opinion.
18. Have you considered to leave your profession? If yes, please explain why you intended to quit.
19. How do you think about the workload in public hospitals? Do you think heavy workload can influence the job satisfaction of doctors?
20. Do you think you have autonomy and accountability for your current position?
Please share your experience.
21. Is there any problem or conflict in working with co-workers such as administrators, nurses and medical technicians?
22. How do you think about doctor-patient relationship in Myanmar?
23. Are you satisfied with the current income of a doctor? Could you please share your opinion about wages?
24. What do you expect from this profession? Do you think that professional development matters for the job satisfaction of doctors?
Appendix C: Interview Transcription Sheets
Participant (1) – Code N1
- Please mention your age and working hospital.
o I am 25 years old, currently working in North Oakkala General Hospital.
- Please indicate your specialty and year of working experience.
o I am now studying general medicine. I have work experience of 1 year and 6 months.
- How do you think about current health system and provided healthcare services in Myanmar?
o Currently, provided healthcare services can cover more than before and the cost is cheaper in public hospitals. But available services may differ according to wards. For the health system, doctor patient ratio is low.
Therefore, best quality care cannot be achieved. Moreover, there are a lot of paper works for doctors and we cannot get enough medical skills.
- What kinds of factors do you think are important for the job satisfaction of doctors?
o In my opinion, acceptable workload, workplace safety and good relationship with co-workers. For instance, if one doctor has to take care of five patients, then he can give the best quality care and he would be satisfied in his work.
- Do you think that physician well-being affects the job satisfaction? Please share your opinion.
o I agree with that. If the doctor has the problem with mental and physical wellbeing, it might affect the job satisfaction. For example, if the doctor is not in good mood because of his family issue and he has to work for 24 hours in hospital for many days, he might not feel satisfied in his work.
- Have you considered to leave your profession? If yes, please explain why you intended to quit.
o No, I haven’t considered about it. It is not because of job satisfaction, but because of professional development.
- How do you think about the workload in public hospitals? Do you think heavy workload can influence the job satisfaction of doctors?
o Workload in public hospitals is huge. But if the teamwork and relationship with co-workers are good, job satisfaction can be acceptable even though it is tired for me.
- Do you think you have autonomy and accountability for your current position?
Please share your experience.
o I am just graduated from medical university and working in tertiary hospital.
There are a lot of seniors and I don’t need to take a lot of responsibilities. It is acceptable for me.
- Is there any problem or conflict in working with co-workers such as administrators, nurses and medical technicians?
o There was only just a small conflict and it did not affect my job satisfaction.
- How do you think about doctor-patient relationship in Myanmar?
o Normally, most of the patients are good to communicate with. Sometimes, they are low educated and it is so tired for me to consult with them. It depends on individuals.
- Are you satisfied with the current income of a doctor? Could you please share your opinion about wages?
o In terms of income, it is so low. Since our country is poor, I have to accept this amount. But I hope to get more salary.
- What do you expect from this profession? Do you think that professional development matters for the job satisfaction of doctors?
o I work in public hospital because of this factor. I will study Master of Science, Dermatology in the future.
- Do you want to add more for this issue?
o I think our healthcare system improve in compared to the past. Especially during Covid-19 pandemic, we can offer our services in free of charge. But now, health system falls because of coup d' état.
Participant (2) – Code N2
- Please mention your age and working hospital.
o I am now 26 years old, working in North Oakkala General Hospital.
- Please indicate your specialty and year of working experience.
o Now I am studying general medicine and I have worked in public hospitals for 1 year and 4 months.
- How do you think about current health system and provided healthcare services in Myanmar?
o Health system of Myanmar is FOC system. But government cannot supply all medical resources. Sometimes, patients have to pay for some medical services. For doctors, there are a lot of workloads to handle and no time to take a break. So, it is not good for us and I am not satisfied.
- What kinds of factors do you think are important for the job satisfaction of doctors?
o In my opinion, the first priority is working hours. Doctors have to stay in hospitals for many hours and we are not satisfied with it. The second factor is income. We earn very low incomes. Another factor is relationship with co-workers. I think these factors are important for job satisfaction of doctors.
- Do you think that physician well-being affects the job satisfaction? Please share your opinion.
o If doctor’s well-being is not good, he would not be satisfied in the job. Since our profession is easy to get sick, we need to take care of ourselves too. For example, we are facing with so many infections. If we are healthy, we can treat patients well and we are satisfied with the job.
- Have you considered to leave your profession? If yes, please explain why you intended to quit.
o I haven’t considered it before even I am tired. But now, I am considering because of political issues.
- How do you think about the workload in public hospitals? Do you think heavy workload can influence the job satisfaction of doctors?
o I think it is strongly related to job satisfaction. Now we are handling over workloads and no time to learn more for career development. If workload can be reduced, I think our satisfaction will increase.
- Do you think you have autonomy and accountability for your current position?
Please share your experience.
o In my position, I have limited responsibility and autonomy. I think because of workload, I have to do some tasks which are not reliable to my profession such as accounting. For autonomy, I am not satisfied.
- Is there any problem or conflict in working with co-workers such as administrators, nurses and medical technicians?
o Since we have limited medical resources and human resources, sometimes we have conflicts among co-workers. These problems are getting bigger sometimes and it is not good for working environment. For this, I am not satisfied.
- How do you think about doctor-patient relationship in Myanmar?
o For doctor-patient relationship, we don’t have enough consulting time. So, patients are not satisfied with our services. And job satisfaction of doctors is also decreased.
- Are you satisfied with the current income of a doctor? Could you please share your opinion about wages?
o Our income is very low. I can spend that amount of money for my daily use only. I cannot support to my family. I am not satisfied with my income.
- What do you expect from this profession? Do you think that professional development matters for the job satisfaction of doctors?
o I want to be a specialist in the future. I work in public hospital because of my professional development. In Myanmar, we have to work two years for government to become a specialist. But there are just a few positions to apply in a year. I cannot expect a lot for my professional development. So, I think it is not good.
Participant (3) – Code N3
- Please mention your age and working hospital.
o I am now 26 years old. I am working in North Oakkala General Hospital.
- Please indicate your specialty and year of working experience.
o I am in general medical field and I have 1 year and 6 months working experience.
- How do you think about current health system and provided healthcare services in Myanmar?
o Now our health system is FOC system. But government cannot fully support.
And there are over workload in public hospitals. It would be better if there are more doctors and can offer better healthcare services.
- What kinds of factors do you think are important for the job satisfaction of doctors?
o I think workload is very important. If doctor-patient ratio is higher, we can reduce over workload. And another important factor is medical training.
Doctors will be happier if they get more medical knowledge and skills.
Moreover, salary is one of the important factors.
- Do you think that physician well-being affects the job satisfaction? Please share your opinion.
o In Myanmar, doctors cannot get sick leave easily because there are a few doctors in public hospitals. So, we are not happy to work in public hospitals.
- Have you considered to leave your profession? If yes, please explain why you intended to quit.
o Yes, I have considered about it. Because I am tired because of over workload and low salary. I cannot support to my family.
- How do you think about the workload in public hospitals? Do you think heavy workload can influence the job satisfaction of doctors?
o If there are over workload, I cannot fully concentrate on my work and in that time, I am easily to get annoyed. Sometimes, I even shout at patients and it
is not good. And I cannot give good quality of care to patients. I am not happy in work in those times.
- Do you think you have autonomy and accountability for your current position?
Please share your experience.
o In some wards, I have autonomy to give treatment. But in some wards, I have no autonomy. I want more autonomy as a doctor.
- Is there any problem or conflict in working with co-workers such as administrators, nurses and medical technicians?
o I have good relationship with co-workers. If the relationship is not good, it might affect job satisfaction.
- How do you think about doctor-patient relationship in Myanmar?
o It depends on patients. For some patients, I am satisfied with my work even I am tired. But for some patients, it is difficult to deal with.
- Are you satisfied with the current income of a doctor? Could you please share your opinion about wages?
o My income is very low. I am from another province and I have to rent accommodation by myself. So, I cannot support to my family.
- What do you expect from this profession? Do you think that professional development matters for the job satisfaction of doctors?
o I work in public hospital because I want to be a specialist. In Myanmar, it is difficult to become a specialist because even I pass the entrance exam, there are just a few positions. So, if I cannot become a specialist, it might affect my job satisfaction.
- Do you want to add more for this issue?
o If the doctors get more training since from internship life and income is acceptable, I think more doctors will work in public hospitals. In this way, we can also reduce the workload.
Participant (4) – Code N4
- Please mention your age and working hospital.
o I am now 27 years old. My working hospital is North Oakkala General Hospital.
- Please indicate your specialty and year of working experience.
o I am now working in general medical field. I have 1 year and 6 months working experience.
- How do you think about current health system and provided healthcare services in Myanmar?
o Myanmar health system is FOC system but medical supplies are not enough.
So, patients have to pay for some medicine. In some hospitals, some medical services such as blood tests and CT scan are not available after office hours.
It is difficult for doctors to give the prompt treatment to patients.
- What kinds of factors do you think are important for the job satisfaction of doctors?
o I think income of a doctor is important. In Myanmar, it is very low. And another factor is professional development. Most of the doctors are working in public hospitals because of this factor. Relationship with co-workers is also important for job satisfaction of doctors.
- Do you think that physician well-being affects the job satisfaction? Please share your opinion.
o Physician well-being is important. Especially during Covid-19 outbreak, we are very tired both physically and mentally. I even took some sedative drugs